What signs indicate severe airway obstruction in adults and children?

The indication that a victim is experiencing severe airway obstruction is demonstrated by their being silent and clutching their neck, which signals the classic universal distress sign for choking. When an individual is unable to speak or breathe effectively due to a blocked airway, they typically exhibit signs of panic or distress. Clutching the neck is often a reflexive action demonstrating the immediate recognition of danger, and these physical cues are critical in identifying a potentially life-threatening situation that requires urgent attention.

In contrast, if the victim can speak normally, it suggests that their airway is not significantly obstructed, as normal airflow is necessary for speech. An effective cough indicates that the person still has enough airflow to expel air from their lungs, which typically means their airway is not fully blocked. Likewise, a calm and relaxed appearance indicates that the individual is not in distress and is likely breathing adequately. Therefore, the signs of silence and neck clutching are key indicators of severe airway obstruction, prompting immediate intervention.